الفهرس | Only 14 pages are availabe for public view |
Abstract Endocrine and metabolic emergencies are relatively common conditions in acute care medicine. They require rapid institution of immediate drug therapy, as well as other general supportive measures to correct life-threatening metabolic derangements, but can be fully reversed with the appropriate treatment. Although the prevalence of endocrine crises due to thyroid dysfunction, i.e. thyroid storm , myxedema coma, cardiac emergencies, post thyroidectomy emergencies and thyroid nodules emergencies has decreased over the last few decades, the mortality associated with them remains surprisingly high. Thyroid storm is defined as the life-threatening condition caused by the exaggeration of the clinical manifestations of thyrotoxicosis. Myxedema coma is a life-threatening condition and represents the most severe expression of hypothyroidism. Hyperthyroidism can produce atrial fibrillation, heart failure and angina pain, it is less well recognized that hypothyroidism can predispose to ventricular dysrhythmias. Thyroidectomy is a very common surgical procedure worldwide and has major complications which are hypocalcaemia, RLN injury, postoperative bleeding and tracheomalacia. |